ARDALAN DENTAL GROUP CORP
NPI 1063974244
Dentist - General Practice in Anaheim, CA
About Ardalan Dental Group Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARDALAN DENTAL GROUP CORP (NPI 1063974244) is a healthcare organization registered as a general practice in Anaheim, California and active in the NPI registry since April 2019. The organization lists Maryam Waheed, Dentist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ardalan Dental Group Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ardalan Dental Group Corp, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ardalan Dental Group Corp's NPI number?
The NPI number for Ardalan Dental Group Corp is 1063974244. It was assigned to this organization in the NPPES registry on April 5, 2019.
Where is Ardalan Dental Group Corp located?
Ardalan Dental Group Corp is located at 250 W Lincoln Ave, Anaheim, CA 92805. The listed phone number is (714) 335-2026.
What is Ardalan Dental Group Corp's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Ardalan Dental Group Corp enrolled in Medicare?
Yes. Ardalan Dental Group Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ardalan Dental Group Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Ardalan Dental Group Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ardalan Dental Group Corp was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ardalan Dental Group Corp · NPI 1063974244
General Practice organization in Anaheim, California. Organization record, active in the CMS NPPES registry since April 5, 2019.
## Identity
- **NPI:** 1063974244 (Entity type: Organization)
- **Enumerated:** April 5, 2019
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Organization subpart:** No
- **Authorized official:** Maryam Waheed, DENTIST
## Practice location
- **Address:** 250 W LINCOLN AVE, Anaheim, CA 92805-2903
- **Phone:** (714) 335-2026
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Oral Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1063974244) · Data from the CMS NPPES public registry.